{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:59:33Z","timestamp":1777291173528,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We evaluated the perioperative outcomes of robotic spleen\u2010preserving distal pancreatectomy (RSPDP) and compared articulated monopolar curved scissors (R\u2010MCS) with the harmonic scalpel (R\u2010HS) as the primary energy device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive single\u2010centre RSPDPs (September 2020\u2010August 2025) and compared baseline characteristics, intraoperative variables, and postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010nine patients were included (R\u2010MCS,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a031; R\u2010HS,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a038). Overall spleen preservation was 79.7%, with no between\u2010group difference (80.6% vs. 78.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.852). Among spleen\u2010preserved cases, Kimura completion was higher with R\u2010MCS (88.0% vs. 66.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.032). Operative time and blood loss were comparable. Time to first flatus was shorter with R\u2010MCS (3.2\u00a0\u00b1\u00a00.9 vs. 3.7\u00a0\u00b1\u00a00.7\u00a0days,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.014). Overall complications occurred in 18.8%, including clinically relevant postoperative pancreatic fistula in 11.6%; no Clavien\u2010Dindo grade\u00a0\u2265\u00a0IIIb complications or perioperative mortality occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RSPDP is safe and feasible. R\u2010MCS may improve Kimura completion and modestly shorten the time to first flatus, pending further validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70170","type":"journal-article","created":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T13:00:52Z","timestamp":1777208452000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Spleen\u2010Preserving Distal Pancreatectomy: Perioperative Outcomes and Comparison of Two Energy Devices"],"prefix":"10.1002","volume":"22","author":[{"given":"Yusheng","family":"Du","sequence":"first","affiliation":[{"name":"Department of Pancreatic Surgery The First Affiliated Hospital of Xuzhou Medical University  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery The First Affiliated Hospital of Xuzhou Medical University  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